Carolee Charest

Led remote HIM coding across specialties including Emergency Department/Observation, rheumatology infusions, hematology/oncology, cardiology, OBGYN, sleep procedures, and hospital pulmonology. Coded E/M levels and ICD-10 diagnoses, billed infusions/injections, and worked in access HIM, 3M, ONCO EMR, and Transact Unlimited while training in EPIC.

Served as HIM Specialty Team lead/remote coder, performing procedure and E/M coding with ICD-10 and modifier attachment across multiple clinical specialties. Trained in Epic and supported coding/billing accuracy across systems including Access HIM, 3M, Onco EMR, and Transact Unlimited.

Analyzed claims trends and denials, corrected coding edits, and ensured services were medically necessary with appropriate modifier use. Collaborated with hospital practices and followed NGS guidelines to improve billing accuracy and reduce audits.

Reviewed claims for trends and denials, resolved coding edits, and ensured services met medical necessity requirements. Partnered with hospital practices to reduce NGS-related audits and improve billing efficiency.

Processed daily Medicare and MaineCare claims, worked edits on unclean claims, and rebilled after coder corrections. Handled rejected MaineCare claims, managed secondary billing using appropriate EOBs, and coordinated with commercial payers to resolve claim status and outcomes.

Reviewed and approved or denied write-offs and adjustments using up-to-date billing references, medical records, correspondence, state statutes, and HIPAA compliance. Ensured billing/invoicing actions were supported and properly documented.

Reviewed and processed write-off and adjustment submissions by evaluating billing, invoicing, medical records, correspondence, and state statutes while ensuring HIPAA compliance. Made approving/denying decisions using up-to-date reference materials.

Handled customer service duties including greeting customers, processing telephone take-out orders, and ensuring orders were prepared accurately and on time. Prepared menu items and supported guest satisfaction by monitoring dining experience and responding to additional requests.

Earned the AAPC Certified Professional Coder credential in 2016.

Completed an AAPC certification program for medical coding and received an AAPC Certification of Completion in May 2016.

Completed AAPC training in medical terminology and anatomy, receiving a Certification of Completion in January 2016.

Earned the AAPC Certified Professional Coder (CPC) certification in October 2016.

Completed AAPC coursework in medical terminology and anatomy in January 2016, receiving an AAPC Certification of Completion.

Completed an AAPC Medical Coding course in May 2016, receiving an AAPC Certification of Completion.

Completed a state-certified course in medical billing and coding and received a Certification of Completion in October 2007.

Completed a course in medical terminology and received a Certification of Completion in June 2007.

Completed a state-certified medical billing and coding course in October 2007, receiving a Certification of Completion.

Completed a medical terminology course in June 2007, receiving a Certification of Completion.